DANA HUMES GOFF Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

DANA HUMES

Last Name

GOFF

Business Name

DANA HUMES GOFF

Original Issue Date

07/26/2001

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

PEKIN

State

Zip

61554

County

PEORIA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026